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“The physician–patient encounter is health care’s choke point” -NEJM

A Country Doctor Writes

My take, and extrapolation, is that there are three reasons why healthcare has failed to evolve in usefulness of both our product (the care we deliver) and our technology (our EMRs), our customer centeredness and the value/cost relationship of the services we provide. 1) Healthcare is not at all customer centered.

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Is Rural Residence a Risk Factor for Preterm Birth in Iowa? [Women's health]

Annals of Family Medicine

Population Studied: We started with 29,620 deliveries at IHC between May 1, 2009, and May 31, 2023. Instrument: Data was extracted from a detailed database of deliveries from May 2009 to the present. Race, ethnicity, high BMI, insurance, and primigravidity were not independently associated with sPTB. Setting: IHC, Iowa City, IA.

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End-of-Life Doulas: A Podcast with Jane Euler, Beth Klint, and John Loughnane

GeriPal

An end-of-life doula is a non-medical support person that provides a longitudinal relationship with aspects of medical, I mean, aspects of companionship, presence, holding space, some logistics, some practical help, decision making perhaps. All of this really turns into an emotional partnership with someone. John: Yeah. I would add, too.

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